Welcome to the Church Membership Page We invite you to register so that our parishes can better serve you and your family! Just as our government conducts a census to understand where resources should be directed, our diocese is conducting a census of our own. By registering, you can help us better serve you in receiving the sacraments such as baptism and marriage planning. By registering you also help us understand where our Chaldean population is residing, so that we can plan for a future parish and accommodate for growth as we congregate further East and West. As you register, please include as much information as possible. Click NEXT to begin the registration process. Family Last Name(Required)Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email What Primary Church Do You Attend(Required)Mother of God Chaldean ChurchHoly Cross Chaldean ChurchSt. Thomas Chaldean ChurchSt. George Chaldean ChurchSt. Joseph Chaldean ChurchHoly Martyrs Chaldean ChurchMar Addai Chaldean ChurchOur Lady Of Perpetual Help Chaldean ChurchMart Mariam Chaldean ChurchSt. Ephrem Chaldean ChurchSacred Heart Chaldean ChurchSt. Paul Chaldean Church Are You Married(Required) Yes NoWedding Date MM slash DD slash YYYY Please fill out the information below for the husbandHusband Full Name First Last Husband E-mail Husband Work NumberHusband CellphoneHusband Birth Date MM slash DD slash YYYY OccupationPlease fill out the information below for the wifeWife Name First Last Wife Maiden NameWife Email Wife PhoneWife Birth Date MM slash DD slash YYYY Wife OccupationPlease fill out the information belowFull Name First Last Birth Date MM slash DD slash YYYY Occupation Do You Have Children(Required) Yes NoHow Many Children Do You Have 1 Child 2 Children 3 Children 4 ChildrenRegarding children, list only those who are under 18, physically residing with you, and who attend church with you *Note: If you do not have the Baptism/Confirmation information that is ok. We will request the information at a later datePlease input as much information as you can for your first childChild 1 Full Name First Last Child 1 Gender Male FemaleChild 1 Birth Date MM slash DD slash YYYY Child 1 Grade in School as of Fall of this yearChild 1 Email Child 1 Church where he/she was baptized/confirmedChild 1 Baptism/Confirm Date MM slash DD slash YYYY Please only list children under 18, physically residing with you, and attending anyone of our churches.Child 2 Name First Last Child 2 Gender Male FemaleChild 2 BirthDate MM slash DD slash YYYY Child 2 Grade In SchoolChild 2 Email Child 2 Church where he/she was baptized/confirmedChurchChild 2 Baptism/Confirm Date MM slash DD slash YYYY Please only list children under 18, physically residing with you, and attending anyone of our churches.Child 3 Name First Last Child 3 Gender Male FemaleChild 3 Birthdate MM slash DD slash YYYY Child 3 Grade In SchoolChild 3 Email Child 3 Church where he/she was baptized/confirmedChild 3 Baptism/Confirm Date MM slash DD slash YYYY Please only list children under 18, physically residing with you, and attending anyone of our churches.Child 4 Name First Last Child 4 Gender Male FemaleChild 4 BirthDate MM slash DD slash YYYY Child 4 Grade In SchoolChild 4 Email Child 4 Church where he/she was baptized/confirmedChurchChild 4 Baptism/Confirm Date MM slash DD slash YYYY If you have more than 4 children, God Bless you and your family. We will reach out to you to get the others added in the near futureIf there is any other information you would like to provide in regards to church membership, please do so herCheck one box to let us know if you do or do not wish to receive email communications from Mother of God Parish(Required) I wish to receive communications I do not wish to receive communications Please click on the submit button below to complete your registration.
